EX-99.1 2 radnet_8k-ex9901.htm PRESS RELEASE

Exhibit 99.1

 

 

 

 

FOR IMMEDIATE RELEASE

 

RadNet Reports Third Quarter Financial Results and Reaffirms Previously Announced 2018 Guidance Levels

 

·Total Net Revenue (“Revenue”) increased 6.4% to $242.1 million in the third quarter of 2018 from $227.6 million in the third quarter of 2017
   
·Adjusted EBITDA(1) increased 5.5% to $38.1 million in the third quarter of 2018 from $36.1 million in the third quarter of 2017
   
·Earnings Per Share is $0.10 per share in the third quarter of 2018 as compared with $0.07 from the third quarter of 2017
   
·Aggregate procedural volumes increased 3.5%; same center procedural volumes increased 0.8%
   
·Subsequent to the end of the quarter, RadNet acquired Medical Arts Imaging in Long Island, NY and commenced operations of the EmblemHealth capitation contract

 

LOS ANGELES, California, November 9, 2018 – RadNet, Inc. (NASDAQ: RDNT), a national leader in providing high-quality, cost-effective, fixed-site outpatient diagnostic imaging services through a network of 341 (adjusted for centers added on October 1, 2018 related to the previously announced Medical Arts Imaging and EmblemHealth transactions) owned and/or operated outpatient imaging centers, today reported financial results for its third quarter of 2018.

 

Dr. Howard Berger, President and Chief Executive Officer of RadNet, commented, “I am pleased with our results this quarter. We compared favorably in all metrics relative to last year’s third quarter. We demonstrated Revenue, Adjusted EBITDA(1) and earnings growth as well as positive same center revenue and procedural increases.”

 

Dr. Berger continued, “Immediately after quarter-end, we completed two important initiatives that further our strategy in New York and set the stage for growth in the coming quarters. First, under a capitation arrangement we announced in August, we commenced operations on October 1st to provide imaging to approximately 200,000 members of EmblemHealth’s AdvantageCare Physicians medical group in Long Island and the boroughs of New York City. The contract included RadNet assuming operations in 26 AdvantageCare offices. During this third quarter, we hired and trained the employees needed to staff the new offices and procured the equipment necessary to support the anticipated patient volumes. While capitation has been an important and successful aspect of our operating strategy in California, this is our first inroad into risk-based contracting on the east coast. We are in discussions with other east coast medical groups and payors about network contracting and population health opportunities and are very interested in expanding through managing the imaging for larger patient populations.”

 

Dr. Berger added, “The second transaction in New York, the acquisition of Medical Arts Imaging, was completed on October 1st and expanded our New York metropolitan network into Nassau and Suffolk counties of Long Island. The ten centers of Medical Arts are instrumental in providing the capacity and coverage necessary to effectively service the EmblemHealth capitated members. Expanding our platform into Long Island with EmblemHeatlh and Medical Arts has already surfaced additional opportunities to grow our operations in New York. Launching this capitation contract and integrating both the Medical Arts and AdvantageCare locations into the RadNet network will be our primary area of focus for the remainder of the year.”

 

 

 

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Third Quarter Financial Results

 

For the third quarter of 2018, RadNet reported Revenue of $242 million, Adjusted EBITDA(1) of $38.1 million and Net Income of $5.0 million. Revenue increased $14.5 million (or 6.4%) and Adjusted EBITDA(1) increased $2.0 million (or 5.5%) from last year’s same quarter.

 

Net Income increased $1.8 million over the third quarter of 2017. Per share Net Income for the third quarter was $0.10, compared to per share Net Income in the third quarter of 2017 of $0.07 (based upon a weighted average number of diluted shares outstanding of 48.6 million and 47.6 million for these periods in 2018 and 2017, respectively).

 

Affecting Net Income in the third quarter of 2018 were certain non-cash expenses or non-recurring items including: $1.7 million of non-cash employee stock compensation expense resulting from the vesting of certain options and restricted stock; $82,000 of severance paid in connection with headcount reductions related to cost savings initiatives; $373,000 gain on the sale or disposal of certain capital equipment; and $977,000 of amortization of deferred financing costs, other non-cash interest and loan discounts related to our credit facilities.

 

For the third quarter of 2018, as compared with the prior year’s third quarter, MRI volume increased 5.0%, CT volume increased 7.9% and PET/CT volume increased 14.0%. Overall volume, taking into account routine imaging exams, inclusive of x-ray, ultrasound, mammography and other exams, increased 3.5% over the prior year’s third quarter. On a same-center basis, including only those centers which were part of RadNet for both the third quarters of 2018 and 2017, MRI volume increased 0.1%, CT volume increased 1.5% and PET/CT volume decreased 2.7%. Overall same-center volume, taking into account routine imaging exams, inclusive of x-ray, ultrasound, mammography and other exams, increased 0.8% compared with the prior year’s same quarter.

 

 

Nine Month Financial Results

 

For the nine months ended September 30, 2018, RadNet reported Revenue of $717.9 million, Adjusted EBITDA(1) of $97.3 million and Net Income of $3.1 million. Revenue increased $31.3 million (or 4.6%), Adjusted EBITDA(1) decreased $4.5 million (or -4.0%) and Net Income decreased $4.2 million over the first nine months of 2017 primarily as a result of the severe weather conditions which materially impact the first quarter results. Net Income Per Share for the nine month period ended September 30, 2018 was $0.06 per diluted share, compared to Net Income of $0.16 per diluted share in corresponding nine month period of 2017 (based upon a weighted average number of fully diluted shares outstanding of 48.5 million and 47.2 million for these periods in 2018 and 2017, respectively).

 

Affecting operating results in the nine months ended September 30, 2018 were certain non-cash expenses or non-recurring items including: $6.6 million of non-cash employee stock compensation expense resulting from the vesting of certain options and restricted stock; $1.1 million of severance paid in connection with headcount reductions related to cost savings initiatives; $2.2 gain on the sale of certain capital equipment; and $2.9 million of amortization of deferred financing costs, other non-cash interest and loan discounts related to our credit facilities.

  

2018 Guidance Update

 

RadNet reaffirms its previously announced 2018 guidance ranges as follows:

 

   
Total Net Revenue $945 million - $970 million
Adjusted EBITDA(1) $140 million - $150 million
Capital Expenditures (a) $60 million - $65 million
Cash Interest Expense $33 million - $38 million
Free Cash Flow Generation (b)

$45 million - $55 million

     
(a)Net of proceeds from the sale of equipment, imaging centers and joint venture interests.
(b)Defined by the Company as Adjusted EBITDA(1) less total capital expenditures and cash paid for interest (as adjusted for any extraordinary dividends from subsidiaries or joint ventures not captured in Adjusted EBITDA(1).

 

 

 

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Conference Call for Today

 

Dr. Howard Berger, President and Chief Executive Officer, and Mark Stolper, Executive Vice President and Chief Financial Officer, will host a conference call to discuss its third quarter 2018 results on Friday, November 9th, 2018 at 7:30 a.m. Pacific Time (10:30 a.m. Eastern Time).

 

Conference Call Details:

 

Date: Friday, November 9, 2018

Time: 10:30 a.m. Eastern Time

Dial In-Number: 888-224-1005

International Dial-In Number: 323-994-2093

 

It is recommended that participants dial in approximately 5 to 10 minutes prior to the start of the 10:30 a.m. call. There will also be simultaneous and archived webcasts available at http://public.viavid.com/index.php?id=132050 or http://www.radnet.com under the “Investors” menu section and “News Releases” sub-menu of the website. An archived replay of the call will also be available and can be accessed by dialing 844-512-2921 from the U.S., or 412-317-6671 for international callers, and using the passcode 5971938.

 

Regulation G: GAAP and Non-GAAP Financial Information

 

This release contains certain financial information not reported in accordance with GAAP. The Company uses both GAAP and non-GAAP metrics to measure its financial results. The Company believes that, in addition to GAAP metrics, these non-GAAP metrics assist the Company in measuring its cash-based performance. The Company believes this information is useful to investors and other interested parties because it removes unusual and nonrecurring charges that occur in the affected period and provides a basis for measuring the Company's financial condition against other quarters. Such information should not be considered as a substitute for any measures calculated in accordance with GAAP, and may not be comparable to other similarly titled measures of other companies. Non-GAAP financial measures should not be considered in isolation from, or as a substitute for, financial information prepared in accordance with GAAP. Reconciliation of this information to the most comparable GAAP measures is included in this release in the tables which follow.

 

About RadNet, Inc.

RadNet, Inc. is the leading national provider of freestanding, fixed-site diagnostic imaging services in the United States based on the number of locations and annual imaging revenue. RadNet has a network of 341 owned and/or operated outpatient imaging centers (adjusted for 36 centers acquired on October 1, 2018 related to the Medical Arts Imaging and EmblemHealth transactions). RadNet's core markets include California, Maryland, Delaware, New Jersey and New York. In addition, RadNet provides radiology information technology solutions, teleradiology professional services and other related products and services to customers in the diagnostic imaging industry. Together with affiliated radiologists, and inclusive of full-time and per diem employees and technicians, RadNet has a total of approximately 7,300 employees. For more information, visit http://www.radnet.com.

 

Forward Looking Statements

 

This press release contains forward-looking statements within the meaning of the U.S. Private Securities Litigation Reform Act of 1995. Specifically, statements concerning successfully integrating acquired operations, successfully achieving 2018 financial guidance, achieving cost savings, successfully developing and integrating new lines of business, continuing to grow its business by generating patient referrals and contracts with radiology practices, and receiving third-party reimbursement for diagnostic imaging services, are forward-looking statements within the meaning of the Safe Harbor. Forward-looking statements are based on management's current, preliminary expectations and are subject to risks and uncertainties, which may cause the Company's actual results to differ materially from the statements contained herein. Further information on potential risk factors that could affect RadNet's business and its financial results are detailed in its most recent Annual Report on Form 10-K, as filed with the Securities and Exchange Commission. Undue reliance should not be placed on forward-looking statements, especially guidance on future financial performance, which speaks only as of the date they are made. RadNet undertakes no obligation to update publicly any forward-looking statements to reflect new information, events or circumstances after the date they were made, or to reflect the occurrence of unanticipated events.

 

CONTACTS:

 

RadNet, Inc.

Mark Stolper, 310-445-2800

Executive Vice President and Chief Financial Officer

 

 

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RADNET, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED BALANCE SHEETS

(IN THOUSANDS EXCEPT SHARE AND PER SHARE DATA)

   

 

   September 30,   December 31, 
   2018   2017 
   (unaudited)     
ASSETS 
CURRENT ASSETS          
Cash and cash equivalents  $27,227   $51,322 
Accounts receivable, net   156,401    155,518 
Due from affiliates   754    2,343 
Prepaid expenses and other current assets   40,135    26,168 
Assets held for sale   2,499     
Total current assets   227,016    235,351 
PROPERTY AND EQUIPMENT, NET   285,787    244,301 
OTHER ASSETS          
Goodwill   274,361    256,776 
Other intangible assets   39,010    40,422 
Deferred financing costs   1,489    1,895 
Investment in joint ventures   42,199    52,435 
Deferred tax assets, net of current portion   23,040    30,852 
Deposits and other   17,740    6,947 
Total assets  $910,642   $868,979 
LIABILITIES AND EQUITY 
CURRENT LIABILITIES          
Accounts payable, accrued expenses and other  $150,146   $135,809 
Due to affiliates   14,192    16,387 
Deferred revenue   2,959    2,606 
Current portion of deferred rent   2,720    2,714 
Current portion of notes payable   30,118    30,224 
Current portion of obligations under capital leases   3,258    3,866 
Total current liabilities   203,393    191,606 
LONG-TERM LIABILITIES          
Deferred rent, net of current portion   28,642    26,251 
Notes payable, net of current portion   549,802    572,365 
Obligations under capital lease, net of current portion   3,162    2,672 
Other non-current liabilities   4,356    6,160 
Total liabilities   789,355    799,054 
EQUITY          
RadNet, Inc. stockholders' equity:          
Common stock - $.0001 par value, 200,000,000 shares authorized;48,334,925, and 47,723,915 shares issued and outstanding at September 30, 2018 and December 31, 2017, respectively        5        5    
Additional paid-in-capital   237,072    212,261 
Accumulated other comprehensive income (loss)   4,276    (548)
Accumulated deficit   (147,051)   (150,158)
Total RadNet, Inc.'s stockholders' equity   94,302    61,560 
Noncontrolling interests   26,985    8,365 
Total equity   121,287    69,925 
Total liabilities and equity  $910,642   $868,979 

 

 

 

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RADNET, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(IN THOUSANDS EXCEPT SHARE DATA)

(unaudited)

 

  Three Months Ended   Nine Months Ended 
  September 30,   September 30, 
   2018   2017   2018   2017 
NET REVENUE                    
Service fee revenue, net of contractual allowances and discounts      $211,313       $638,119 
Provision for bad debts       (11,687)       (35,187)
Net service fee revenue  $217,552    199,626   $641,136    602,932 
Revenue under capitation arrangements   24,596    27,981    76,799    83,702 
Total net revenue   242,148    227,607    717,935    686,634 
OPERATING EXPENSES                    
Cost of operations, excluding depreciation and amortization   208,511    198,109    634,200    602,174 
Depreciation and amortization   17,480    17,053    53,422    50,319 
(Gain) loss on sale and disposal of equipment   (373)   420    (2,204)   828 
Severance costs   82    1,186    1,087    1,566 
Total operating expenses   225,700    216,768    686,505    654,887 
INCOME FROM OPERATIONS   16,448    10,839    31,430    31,747 
OTHER INCOME AND EXPENSES                    
Interest expense   10,663    10,169    31,343    30,712 
Equity in earnings of joint ventures   (2,822)   (3,450)   (9,547)   (8,372)
Gain on sale of imaging centers       (845)       (3,146)
Other expenses (income)   7    4    13    (236)
Total other expenses   7,848    5,878    21,809    18,958 
INCOME BEFORE INCOME TAXES   8,600    4,961    9,621    12,789 
Provision for income taxes   (2,827)   (1,112)   (2,835)   (4,177)
NET INCOME   5,773    3,849    6,786    8,612 
Net income attributable to noncontrolling interests   734    623    3,679    1,286 
NET INCOME ATTRIBUTABLE TO RADNET, INC.                    
COMMON STOCKHOLDERS  $5,039   $3,226   $3,107   $7,326 
BASIC  NET INCOME PER SHARE                    
ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS  $0.10   $0.07   $0.06   $0.16 
DILUTED NET INCOME PER SHARE                    
ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS  $0.10   $0.07   $0.06   $0.16 
WEIGHTED AVERAGE SHARES OUTSTANDING                    
Basic   48,010,726    46,953,705    47,937,215    46,760,583 
Diluted   48,615,392    47,577,750    48,481,305    47,239,360 

 

 

 

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RADNET, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(IN THOUSANDS)

(unaudited)

 

  Nine Months Ended September 30, 
   2018   2017 
CASH FLOWS FROM OPERATING ACTIVITIES          
Net income  $6,786   $8,612 
Adjustments to reconcile net income to net cash provided by operating activities:                 
Depreciation and amortization   53,422    50,319 
Provision for bad debts       35,187 
Equity in earnings of joint ventures   (9,547)   (8,372)
Distributions from joint ventures   21,783    6,785 
Amortization deferred financing costs and loan discount   2,924    2,509 
(Gain) loss on sale and disposal of equipment   (2,204   828 
Gain on sale of imaging centers       (3,146)
Stock-based compensation   6,557    5,842 
Non cash severance       1,047 
Changes in operating assets and liabilities, net of assets acquired and liabilities assumed in purchase transactions:                
Accounts receivable   (9,641)   (38,770)
Other current assets   (5,680)   2,981 
Other assets   (1,209)   309 
Deferred taxes   1,531    2,031 
Deferred rent   2,397    2,137 
Deferred revenue   353    428 
Accounts payable, accrued expenses and other   20,386    6,857 
Net cash provided by operating activities   87,858    75,584 
CASH FLOWS FROM INVESTING ACTIVITIES          
Purchase of imaging facilities   (17,393)   (22,904)
Investment at cost   (2,200)   (500)
Purchase of property and equipment   (62,595)   (52,807)
Proceeds from sale of equipment   2,587    571 
Proceeds from sale of imaging and medical practice assets       8,429 
Cash distribution from new JV partner       1,473 
Equity contributions in existing and purchase of interest in joint ventures   (2,000)   (80)
Net cash used in investing activities   (81,601)   (65,818)
CASH FLOWS FROM FINANCING ACTIVITIES          
Principal payments on notes and leases payable   (4,374)   (5,297)
Proceeds from borrowings       170,000 
Payments on Term Loan Debt   (24,810)   (188,396)
Distributions paid to noncontrolling interests   (913)   (1,065)
Deferred financing costs and debt discount       (5,067)
Proceeds from sale of noncontrolling interest, net of taxes       7,726 
Contributions from noncontrolling partners       125 
Purchase of non-controlling interests   (200)    
Proceeds from revolving credit facility   44,000    139,400 
Payments on revolving credit facility   (44,000)   (139,400)
Proceeds from issuance of common stock upon exercise of options   10     
Net cash used in financing activities   (30,287)   (21,974)
EFFECT OF EXCHANGE RATE CHANGES ON CASH   (65)   38 
NET DECREASE IN CASH AND CASH EQUIVALENTS   (24,095)   (12,170)
CASH AND CASH EQUIVALENTS, beginning of period   51,322    20,638 
CASH AND CASH EQUIVALENTS, end of period  $27,227   $8,468 
SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION          
Cash paid during the period for interest  $27,136   $29,134 

 

 

 

 

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RADNET, INC.

RECONCILIATION OF GAAP NET INCOME (LOSS) ATTRIBUTABLE TO RADNET, INC. COMMON SHAREHOLDERS TO ADJUSTED EBITDA(1)

(IN THOUSANDS)

 

  Three Months Ended 
  September 30, 
   2018   2017 
Net Income Attributable to RadNet, Inc. Common Shareholders  $5,039   $3,226 
Plus Interest Expense   10,663    10,169 
Plus Provision for Income Taxes   2,827    1,112 
Plus Depreciation and Amortization   17,480    17,053 
Plus (Gain) Loss on Sale of Equipment   (373)   420 
Plus Severance Costs   82    1,186 
Plus Other Expenses   7    4 
Plus Non-Cash Employee Stock-Based Compensation   1,667    1,528 
Plus Transaction Costs - EmblemHealth/ACP   681     
Plus Fees Related to Term Loan Refinancing       235 
Plus Expenses of Divested/Closed Operations       1,986 
Less Gain on Sale of Imaging Centers       (845)
Adjusted EBITDA(1)  $38,073   $36,074 

 

 

  Nine Months Ended 
  September 30, 
   2018   2017 
Net Income Attributable to RadNet, Inc. Common Shareholders  $3,107   $7,326 
Plus Interest Expense   31,343    30,712 
Plus Provision for Income Taxes   2,835    4,177 
Plus Depreciation and Amortization   53,422    50,319 
Plus (Gain) Loss on Sale of Equipment   (2,204)   828 
Plus Severance Costs   1,087    1,566 
Plus Other Expenses   13    14 
Plus Non-Cash Employee Stock-Based Compensation   6,557    5,842 
Plus Transaction Costs - EmblemHealth/ACP   681      
Plus Fees Related to Term Loan Refinancing       235 
Plus Expenses of Divested/Closed Operations       3,186 
Plus Reimbursable Legal Expenses       723 
Plus Gain on Sale of Equipment Attributable to Noncontrolling Interest   440     
Less Gain on Sale of Imaging Centers       (3,146)
Adjusted EBITDA(1)  $97,281   $101,782 

 

 

 

 

 

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PAYOR CLASS BREAKDOWN**

   

 

Third Quarter    
   2018 
Commercial Insurance   59.8% 
Medicare   20.4% 
Capitation   10.2% 
Workers Compensation/Personal Injury   2.7% 
Medicaid   3.7% 
Other   3.3% 
Total   100.0% 

 

**Calculated as percentages of global payments received from consolidated imaging centers from that periods dates of services and excludes payments from hospital contracts, Breastlink operations, imaging center management fees, eRAD, Imaging on Call and other miscellaneous revenue.

 

 

 

 

 

 

 

 

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RADNET PAYMENTS BY MODALITY *

 

 

   Third Quarter   Full Year   Full Year   Full Year 
   2018   2017   2016   2015 
MRI   35.0%    34.9%    34.7%    35.3% 
CT   16.7%    16.2%    15.8%    15.7% 
PET/CT   5.8%    5.2%    5.0%    5.1% 
X-ray   9.1%    8.9%    9.3%    9.6% 
Ultrasound   12.1%    12.1%    12.3%    11.5% 
Mammography   15.3%    16.3%    16.5%    16.4% 
Nuclear Medicine   1.2%    1.1%    1.2%    1.3% 
Other   4.9%    5.2%    5.2%    5.1% 
    100.0%    100.0%    100.0%    100.0% 

 

Note

* Based upon global payments received from consolidated Imaging Centers from that period's dates of service.

Excludes payments from hospital contracts, Breastlink, Imaging on Call, eRAD, Center Management Fees and other miscellaneous operating activities.

 

 

 

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Footnotes

 

(1) The Company defines Adjusted EBITDA as earnings before interest, taxes, depreciation and amortization, each from continuing operations and adjusted for losses or gains on the sale of equipment, other income or loss, transaction expenses, debt extinguishments and non-cash equity compensation. Adjusted EBITDA includes equity earnings in unconsolidated operations and subtracts allocations of earnings to non-controlling interests in subsidiaries, and is adjusted for non-cash or extraordinary and one-time events taken place during the period.

 

Adjusted EBITDA is reconciled to its nearest comparable GAAP financial measure. Adjusted EBITDA is a non-GAAP financial measure used as analytical indicator by RadNet management and the healthcare industry to assess business performance, and is a measure of leverage capacity and ability to service debt. Adjusted EBITDA should not be considered a measure of financial performance under GAAP, and the items excluded from Adjusted EBITDA should not be considered in isolation or as alternatives to net income, cash flows generated by operating, investing or financing activities or other financial statement data presented in the consolidated financial statements as an indicator of financial performance or liquidity. As Adjusted EBITDA is not a measurement determined in accordance with GAAP and is therefore susceptible to varying methods of calculation, this metric, as presented, may not be comparable to other similarly titled measures of other companies.

 

(2) As noted above, the Company defines Free Cash Flow as Adjusted EBITDA less total Capital Expenditures (whether completed with cash or financed) and Cash Interest paid. Free Cash Flow is a non-GAAP financial measure. The Company uses Free Cash Flow because the Company believes it provides useful information for investors and management because it measures our capacity to generate cash from our operating activities. Free Cash Flow does not represent total cash flow since it does not include the cash flows generated by or used in financing activities. In addition, our definition of Free Cash Flow may differ from definitions used by other companies.

 

Free Cash Flow should not be considered a measure of financial performance under GAAP, and the items excluded from Adjusted EBITDA should not be considered in isolation or as alternatives to net income, cash flows generated by operating, investing or financing activities or other financial statement data presented in the consolidated financial statements as an indicator of financial performance or liquidity. As Adjusted EBITDA is not a measurement determined in accordance with GAAP and is therefore susceptible to varying methods of calculation, this metric, as presented, may not be comparable to other similarly titled measures of other companies.

 

 

 

 

 

 

 

 

 

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